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Glen Victor Powell, MS
Mental Health Counselor in Leominster, Massachusetts
NPI 1104005693

Glen Victor Powell is a Mental Health Counselor based in Gardner, MA and is specialized in Mental Health. Glen Victor Powell practices in Leominster, MA and has the professional credentials of MS. The NPI Number for Glen Victor Powell is 1104005693 and holds a License No. (Massachusetts).

The current practice location address for Glen Victor Powell is 100 Erdman Way, Leominster, MA and can be reached out via phone at 978-537-0956.

Location: 100 Erdman Way, Leominster, MA, 01440-4212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104005693
Provider Name
Glen Victor Powell
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
100 Erdman Way, Leominster, MA, 01440-4212
Phone Number
978-537-0956
Fax Number
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Erdman Way
City
Leominster
State
Massachusetts
Zip
01453-1804
Phone Number
978-537-0956
Fax Number
person
Provider Business Mailing Address Details
Address
100 Erdman Way
City
Leominster
State
Massachusetts
Zip
01453-1804
Phone Number
978-537-0956
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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